Individual
MISTY VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-4100
Mailing address
5525 W COLES RD, LAVEEN, AZ 85339-5254
(602) 318-0145
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
229681
AZ
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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